Riverside Eyecare Professionals INC a Medical Corporation

Riverside Eyecare Professionals INC a Medical Corporation was paid $879K by Medicaid between Aug 2023 and Oct 2024, across 15 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 72% of everything it billed.

33Billing provider infoRIVERSIDE EYECARE PROFESSIONALS INC A MEDICAL CORPORATION
REDDING, CA 96001

33aNPI1265158703assigned 10/17/2022

33bProvider typeOphthalmology Physician

28Total paid$879K

24GClaims5,378

24DCodes billed15

24AFirst – last monthAug 2023 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#88 of 759

Median peer was paid$35K

This provider vs. median25×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2023	1,573	$258K
2024incomplete	3,805	$621K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
J0178	Injection, aflibercept, 1 mg	72%	800	628	$633K
67028	Intravitreal injection of a pharmacologic agent	20%	915	711	$172K
92134		3.7%	1,485	1,284	$32K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	1.9%	707	702	$17K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.2%	166	165	$11K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	362	355	$4K
83861		<1%	285	182	$2K
92015	Determination of refractive state	<1%	150	150	$2K
92133		<1%	92	92	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	26	26	$2K
92083		<1%	78	77	$1K
83516		<1%	261	165	$1K

3 more codes

92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	26	$491.92
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	12	$319.23
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	13	$295.40

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSUMSION, SCOTT (ADMINISTRATOR)